Adolescents use synthetic marijuana for low cost and to avoid drug test detection

Of 80 adolescents, 49% used natural marijuana only and 51% used both synthetic and natural. Top reasons for synthetic use: low cost and reduced drug test detection risk. Dual users had higher externalizing problems (p=0.024) and peer substance use (p=0.009) but no difference in psychotic symptoms. Synthetic use heightened perceived medical risks of natural marijuana.

Convenience sample of 80 adolescents (ages 14-18) receiving substance use treatment, surveyed between April 2016-May 2018. Assessed with Strengths and Difficulties Questionnaire and CAPE-Positive Scale for psychosis symptoms.

Understanding why adolescents choose synthetic cannabinoids over natural marijuana can inform prevention strategies. The finding that drug test avoidance is a key motivator suggests testing policies may paradoxically push some youth toward more dangerous products.

The irony that drug testing intended to deter substance use may drive adolescents toward synthetic cannabinoids, which are more dangerous and harder to detect, highlights unintended consequences of punitive drug policies in schools and juvenile justice.

Small convenience sample from a single treatment center. Adolescents already in treatment may differ from the general population. Self-reported use. Cross-sectional design. No biochemical verification.